Dedicated Revenue Cycle Specialist with 15+ years of experience in medical billing and accounts receivable management across various healthcare settings. Proven expertise in resolving claims denials, conducting audits, obtaining authorizations for procedures and implementing best practices for billing processes. Strong leadership skills demonstrated through training initiatives for office staff and collaboration with other medical billing team members to enhance operational efficiency for all clients Willing to relocate to: Greenville, NC - Jacksonville, NC Authorized to work in the US for any employer
Hi, I’m
Angela Langley
Bolivia,NC
Summary
Overview
19
years of professional experience
1
Certificate
Work History
HerMD, Inc.
Revenue Cycle Specialist II
12.2024 - 06.2025
Job overview
- Assisted patients with updating insurance, getting COB issues resolved. Also reviewed and sent out patient statements along with assisting them in understanding their benefits and responsibilities for all services rendered. Assisted them with paying their statements by phone or through our online portal as well as worked out payment plans.
- Posted all insurance payments into PMS for 4 locations across 3 states once reconciling them to the bank reconciliation using excel spreadsheets to verify each payment had been received by bank prior to posting.
- Reviewed and billed appropriately 150-300 claims per day with a 98% acceptance rate.
- Worked with RCM Manager to develop team trainings for Office Managers; Font Desk staff; and providers to ensure all PMS & EHR were billed timely and accurately by creating a missed visits spreadsheet to be worked weekly by each practice manager or provider.
- Successfully collected a total of $3 million in old Insurance and Patient AR in just 90 days.
EyeMed Management Billing Solutions
Patient Account Representative
01.2023 - 06.2024
Job overview
- Provided remote management of Insurance and Patient AR for multiple Optometry and Ophthalmology medical provider’s for up 14 provider’s across 3 different states.
- Performed monthly audits on coding trends, reimbursements & medical documentation
- Assisted patients in understanding their OOP responsibilities as well as worked to resolve COB issues. Reviewed all patient’s statement’s prior to sending out to be sure all insurance and patient payments were properly allocated.
- Made sure prior authorization and referrals were obtained and properly documented on all claims . Manually keyed all VSP, ;EyeMed, Spectrum, Davis/Versant claims and posted all EOBS into Mod Med and Next Tech depending on client .
- Handled routine as well medically necessary visits including filing of after cataract surgery glasses and specialty contact lenses fittings and materials for all ages with medically necessary diagnosis’s.
Wellstar Health System
Remote Revenue Cycle Management
06.2022 - 01.2023
Job overview
- Contract position for large Multi Specialty Medical and Hospital Services
- Expert handling of patient pre-certification, collection, and follow-up. Auditing of EHR coding documentation for each patient encounter using CPT, ICD10, Modifier’s, & HCPCS guidelines to ensure daily billing of charges to insurance claims.
- Specialized in performing redetermination, retro authorization process, or appeals to insurance payers if needed to resolve denied or incorrectly processed claims. Used Epic PMS.
Applied Medical Systems
Client Account Representative/Revenue Cycle Manager
04.2014 - 01.2020
Job overview
- Provided remote management of Insurance and Patient accounts receivable’s for 3 Medical practice’s
- Performed monthly audits on coding trends, reimbursements & electronic health records documentation.
- Assisted patients in understanding their responsibilities prior& after service and worked with them to resolve COB issues.
- Traveled as needed to client practice’s to train employees to improve overall insurance and patient AR outcomes as well as meet with the physician’s to go over latest financial reports and assist them with contract negotiation with payers as well as updating credentialing status with all payers.
- Multiple PMS used. See all listed under skills.
Doctors Vision Center (My Eye Dr.)
TPA-Third-Party Claims Administrator, CPOC
12.2009 - 04.2014
Job overview
- Managed Insurance & patient AR for 5 Doctors’ Vision Center practices.
- Submitted all electronic and paper insurance claims daily.
- Resolved all claim edits or errors detected by clearing house. Handled the posting of all insurance EOB’s as well as patient payments.
- Received a Service Star Award for identifying and correcting coding errors that ensured patient coverage for procedures that increased the quality of care for hundreds of patients while increasing practice revenue.
Rocky Mount Rehabilitation Associates-Pain Management
Medical Billing/Office Manager
01.2006 - 12.2009
Job overview
- Supervised and coordinated a team of employees. Tasks included keying all insurance and patient payments, credentialing, and auditing medical records for accuracy. Maintained provider on-call schedules. Handled all daily balancing of charges and payments. Also handled all insurance and patient AR for all Orthopedic inpatient and outpatient claims
- Physician decided not to renew contract with Hospital as Medical Director and decided to join a practice that was not drivable for me due to having kids at home had to find another job since location was closing.
Education
Sissonville High SchoolCharleston, WV
High School Diploma
University Overview
Graduated with CNA certification.
Nash Community CollegeRocky Mount, NC
No Degree from Health Information Management
University Overview
Medical Billing and Coding Certification
Skills
- Medical terminology (10 years)
- Credentialing (10 years)
- CPT & ICD 10 Coding (10 years)
- Medical records (10 years)
- Compulink Cloud PMS (6 years)
- Payment posting (10 years) (10 years)
- Medicare (10 years)
- Financial report writing (10 years)
- Office experience (10 years)
- Customer service (10 years)
- Medical collection (10 years)
- OSHA Training Certificate
- Typing (10 years)
- Strong Verbal skills with over five years of management experience
- AdvancedMD (4 years)
- Athenahealth (2 years)
- Officemate (10 years)
- Financial Analysis (10 years)
- Communication skills (10 years)
- Time management (10 years)
- ECW (3 years)
- Medical Coding (10 years)
- Data Entry (10 years)
- Centricity (5 years)
- Mod Med (4 years)
- Computer literacy (10 years)
- Microsoft Office Applications (10 years)
- HIPAA Training (10 years)
- EDI (10 years)
- Medical Scheduling (10 years)
- Insurance Verification (10 years)
- QuickBooks (3 years)
- Nextgen (4 years)
- Auditing (10 years)
- Centricity/IDX (5 years)
- Analytical Skills (10 years)
- Clerical Experience (10 years)
- Organizational skills (10 years)
- Phone Etiquette (10 years)
- Accounts Receivable (10 years)
- Microsoft Powerpoint (5 years)
- Epic (4 years)
- Medical Receptionist (10 years)
- Ophthalmology Experience (8 years)
- Computer skills (10 years)
- Front desk (6 years)
- Allscripts (5 years)
- Accounting (10 years)
- Medical Office Experience (10 years
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
- Insurance verification
- Advanced MD experience
Certification
- CPOC
- Present
Timeline
Revenue Cycle Specialist II
HerMD, Inc.
12.2024 - 06.2025
Patient Account Representative
EyeMed Management Billing Solutions
01.2023 - 06.2024
Remote Revenue Cycle Management
Wellstar Health System
06.2022 - 01.2023
Client Account Representative/Revenue Cycle Manager
Applied Medical Systems
04.2014 - 01.2020
TPA-Third-Party Claims Administrator, CPOC
Doctors Vision Center (My Eye Dr.)
12.2009 - 04.2014
Medical Billing/Office Manager
Rocky Mount Rehabilitation Associates-Pain Management
01.2006 - 12.2009
Sissonville High School
High School Diploma
Nash Community College
No Degree from Health Information Management
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